| NPI | 1831386275 |
|---|---|
| Doing Business As | ANNANDALE INTENSIVE RESIDENTIAL TREATMENT |
| Entity Type | Organization |
| Authorized Contact | DAVID J. BARAGA Executive Director 320-252-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MN FBL-0020515-25193) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-08-05 |